Varicose Vein Treatments

Veins often take away from the beauty and appearance of your legs. Perhaps more importantly, varicose veins produce significant symptoms and can lead to serious medical conditions.

The good news is that veins today can be treated or removed quickly, with minimal discomfort, in a doctor's office. There is no need for hospitalization and the recovery time is measured in minutes, not weeks. Almost immediately, you will be able to do all the things you did before you developed varicose veins. Sound too good to be true? Let us tell you about the sophisticated treatment options at the Coastal Vein Institute . . .

VNUS closure

The VNUS® Closure procedure, an alternative treatment option to traditional vein stripping surgery, brings state-of-the-art technology to an age-old disease. Treatment times are usually less than 2 minutes, and patients are in and out of the office in less than 90 minutes. The Closure procedure is performed on an outpatient basis. Using ultrasound, your physician will position the Closure catheter into the diseased vein, through a small opening in the skin. The tiny catheter delivers radiofrequency (RF) energy to the vein wall, causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins.

Endovenous Laser Therapy (EVLT)

EVLT (Endovenous Laser Therapy) is an innovative new treatment that eliminates the need for surgery and is approved by the FDA for treatment of the greater saphenous vein, the largest vein in the body that runs through the leg. Performed in our office, EVLT involves threading a thin laser fiber up the saphenous vein in the thigh from below the knee to the groin. The fiber is slowly withdrawn while the laser delivers pulses of energy to the inside of the vein, causing it to close. This office-based procedure is virtually painless and is completed in one to two hours.


Varithena™ (polidocanol injectable foam) is a prescription medicine used to treat varicose veins caused by problems with the great saphenous vein (GSV) and other related veins in the leg’s GSV system. Varithena improves the symptoms of varicose veins such as heaviness, achiness, swelling, throbbing and itching as well as the leg’s appearance.

Treatment with Varithena™ is minimally invasive and nonsurgical. The doctor usually numbs the injection site but no incision, sedation or general anesthesia is required. Patients may resume most normal activities the same day as treatment. It is the only FDA-approved foam treatment for varicose veins in the GSV system.

Micro Phlebectomy

Micro phlebectomy is a minimally invasive method for treating small varicose veins. Recent advances have made it possible to perform this procedure in our office using only a local anesthetic. A small hook is used to remove the vein through tiny incisions. As the incisions are extremely small, stitches are rarely needed. The incisions typically heal within a few days.

Spider Vein Treatments

Ultrasound-Guided Foam Sclerotherapy

Sclerotherapy has been used to close abnormal leg veins for many years and may be used for treatment of both spider and varicose veins. With sclerotherapy, a very fine needle is used to inject a medication directly into the spider or varicose veins. This medication stimulates the inside of the vein, which then collapses and become reabsorbed. Modern sclerotherapy is performed under ultrasound guidance using foam made of the sclerosing medicine mixed with air. It affords excellent results when used separately or in conjunction with other treatments. Each vein may require one to several injections and most disappear in a few weeks to several months.

Veinwave Therapy

Veinwave is a unique technique for the treatment of spider veins and telangietasia.  It was developed in Europe has recently become available in the United States. Millions of men and women suffer from those unsightly clusters of red, blue or purple veins that spider-web across the cheeks, thighs, calves, ankles and knees. Veinwave uses a revolutionary process called "Unipolar Thermo-coagulation;"  a high-frequency energy is applied to the affected area which causes the vein walls to collapse.  Unlike lasers, the Veinwave involves only slight discomfort, so there is no need for anesthetic creams or pain medications.  It is safe, effective and permanent.